Anatomy and Cell Biology

Korean Association of Anatomists (대한해부학회)
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Morphometric study of the semitendinosus muscle and its neurovascular pedicles in South Indian cadavers

  • Received : 2017.08.31
  • Accepted : 2017.11.21
  • Published : 2018.03.31
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Abstract

The purpose of this study was to determine the length of the semitendinosus muscle belly and its tendon in South Indian population and to study the topography and diameter of its neurovascular pedicles. The study included 46 formalin fixed human cadaveric lower limbs. The length of the semitendinosus muscle belly and its tendon were measured. The neurovascular pedicles of the semitendinosus muscle were identified and counted. The diameter of the neurovascular pedicle was measured just before its entrance into the semitendinosus muscle. The topographical distance of the neurovascular pedicles from the origin of the semitendinosus muscle were determined. The mean length of the semitendinosus muscle belly was $332.3{\pm}36.1mm$ and its tendon measured $154.8{\pm}31.9mm$. The mean diameter of the vascular pedicle was measuring $11.4{\pm}9.1mm$, just before its entrance into the semitendinosus muscle. The neurovascular pedicles, of the semitendinosus muscle were ranging between 1 and 7. The distance of the entrance of neurovascular pedicle to the semitendinosus muscle from its origin was ranging between 46 and 272 mm. It was observed that the neurovascular pedicles were highest (31%) at the range of 151-200 mm away from the ischial tuberosity. The morphometric data obtained in the present study is enlightening to the orthopedic and plastic surgeons. The topographical knowledge of the neurovascular pedicles has its implications during the harvesting of the grafts and pedicle flaps. The diameter of vessels in the pedicles is enlightening because of new method of anterior cruciate ligament reconstruction.

Keywords

References

  1. Moore KL, Dalley AF, Agur AM. Clinically oriented anatomy. 5th ed. Baltimore, MD: Lippincott Williams and Wilkins; 2006. p.616-7.
  2. Lee JH, Kim KJ, Jeong YG, Lee NS, Han SY, Lee CG, Kim KY, Han SH. Pes anserinus and anserine bursa: anatomical study. Anat Cell Biol 2014;47:127-31. https://doi.org/10.5115/acb.2014.47.2.127
  3. Pereira RN, Karam FC, Schwanke RL, Millman R, Foletto ZM, Schwanke CH. Correlation between anthropometric data and length and thickness of the tendons of the semitendinosus and gracilis muscles used for grafts in reconstruction of the anterior cruciate ligament. Rev Bras Ortop 2016;51:175-80. https://doi.org/10.1016/j.rbo.2015.05.006
  4. Reboonlap N, Nakornchai C, Charakorn K. Correlation between the length of gracilis and semitendinosus tendon and physical parameters in Thai males. J Med Assoc Thai 2012;95 Suppl 10:S142-6.
  5. Maffulli N, Longo UG, Gougoulias N, Denaro V. Ipsilateral free semitendinosus tendon graft transfer for reconstruction of chronic tears of the Achilles tendon. BMC Musculoskelet Disord 2008;9:100. https://doi.org/10.1186/1471-2474-9-100
  6. Hua Y, Chen S, Jin Y, Zhang B, Li Y, Li H. Anatomical reconstruction of the lateral ligaments of the ankle with semitendinosus allograft. Int Orthop 2012;36:2027-31. https://doi.org/10.1007/s00264-012-1577-7
  7. Biau DJ, Tournoux C, Katsahian S, Schranz PJ, Nizard RS. Bonepatellar tendon-bone autografts versus hamstring autografts for reconstruction of anterior cruciate ligament: meta-analysis. BMJ 2006;332:995-1001. https://doi.org/10.1136/bmj.38784.384109.2F
  8. Prodromos CC, Han YS, Keller BL, Bolyard RJ. Stability results of hamstring anterior cruciate ligament reconstruction at 2- to 8-year follow-up. Arthroscopy 2005;21:138-46. https://doi.org/10.1016/j.arthro.2004.10.017
  9. Azar FM, Beaty JH, Canale ST. Campbell's operative orthopaedics. 13th ed. Philadelphia, PA: Elsevier; 2017. p.41-5.
  10. de Lima Lopes C, Arantes G, de Oliveira RV, Pinto DM, Goncalves MC, Goncalves RC. Anatomical reference point for harvesting a flexor graft during arthroscopic reconstruction of the anterior cruciate ligament. Rev Bras Ortop 2015;50:164-7. https://doi.org/10.1016/j.rbo.2014.03.009
  11. Tabuchi K, Soejima T, Murakami H, Noguchi K, Shiba N, Nagata K. Inducement of tissue regeneration of harvested hamstring tendons in a rabbit model. Bone Joint Res 2016;5:247-52. https://doi.org/10.1302/2046-3758.56.2000585
  12. Cross MJ, Roger G, Kujawa P, Anderson IF. Regeneration of the semitendinosus and gracilis tendons following their transection for repair of the anterior cruciate ligament. Am J Sports Med 1992;20:221-3. https://doi.org/10.1177/036354659202000223
  13. Ahlen M, Liden M, Movin T, Papadogiannakis N, Rostgard-Christensen L, Kartus J. Histological evaluation of regenerated semitendinosus tendon a minimum of 6 years after harvest for anterior cruciate ligament reconstruction. Orthop J Sports Med 2014;2:2325967114550274.
  14. Eriksson K, Hamberg P, Jansson E, Larsson H, Shalabi A, Wredmark T. Semitendinosus muscle in anterior cruciate ligament surgery: morphology and function. Arthroscopy 2001;17:808-17. https://doi.org/10.1016/S0749-8063(01)90003-9
  15. Charalambous CP, Kwaees TA. Anatomical considerations in hamstring tendon harvesting for anterior cruciate ligament reconstruction. Muscles Ligaments Tendons J 2012;2:253-7.
  16. Tohyama H, Beynnon BD, Johnson RJ, Nichols CE, Renstrom PA. Morphometry of the semitendinosus and gracilis tendons with application to anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 1993;1:143-7. https://doi.org/10.1007/BF01560195
  17. Pichler W, Tesch NP, Schwantzer G, Fronhofer G, Boldin C, Hausleitner L, Grechenig W. Differences in length and crosssection of semitendinosus and gracilis tendons and their effect on anterior cruciate ligament reconstruction: a cadaver study. J Bone Joint Surg Br 2008;90:516-9.
  18. Limitlaohaphan C, Kijkunasatian C, Saitongdee P. Length of semitendinosus and gracilis tendons and the relationship of graft length and leg length. J Med Assoc Thai 2009;92 Suppl 6:S200-3.
  19. Ashaolu JO, Osinuga TS, Ukwenya VO, Makinde EO, Adekanmbi AJ. Pes anserinus structural framework and constituting tendons are grossly aberrant in Nigerian population. Anat Res Int 2015;2015:483186.
  20. Muellner T, Kumar S, Singla A. Proximal hamstring reconstruction using semitendinosus and gracilis autograft: a novel technique. Knee Surg Sports Traumatol Arthrosc 2017;25:112-4. https://doi.org/10.1007/s00167-016-4366-9
  21. Rab M, Mader N, Kamolz LP, Hausner T, Gruber H, Girsch W. Basic anatomical investigation of semitendinosus and the long head of biceps femoris muscle for their possible use in electrically stimulated neosphincter formation. Surg Radiol Anat 1997;19:287-91. https://doi.org/10.1007/BF01637592
  22. Rouffet F, Honnart F, Calmat A. The blood supply of the semitendinosus, gracilis and sartorius muscles and surgical applications (author's transl). J Chir (Paris) 1977;114:193-9.
  23. Solano M, Purinton PT, Chambers JN, Munnell JF. Effects of vascular pedicle ligation on blood flow in canine semitendinosus muscle. Am J Vet Res 1995;56:731-5.
  24. Chambers JN, Purinton PT, Allen SW, Moore JL. Identification and anatomic categorization of the vascular patterns to the pelvic limb muscles of dogs. Am J Vet Res 1990;51:305-13.
  25. Guelinckx PJ, Sinsel NK, Gruwez JA, Lammens M, Bourgeois I Jr. Neurovascular intact muscle transposition for anal sphincter repair: experimental model and experience with dynamic pacing. Dis Colon Rectum 1995;38:878-85. https://doi.org/10.1007/BF02049846
  26. Blondeel PN, Van Landuyt KH, Monstrey SJ, Hamdi M, Matton GE, Allen RJ, Dupin C, Feller AM, Koshima I, Kostakoglu N, Wei FC. The "Gent" consensus on perforator flap terminology: preliminary definitions. Plast Reconstr Surg 2003;112:1378-83. https://doi.org/10.1097/01.PRS.0000081071.83805.B6

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